Evans, Theodore Alfred

Evans, Theodore Alfred is an individual health care provider with primary practice located at 925 Ne 30Th Ter Suite 102, Homestead FL 33033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Evans, Theodore Alfred can be contacted via phone (305) 247-1701.

Contact Information

Primary practice address
925 Ne 30Th Ter Suite 102 Homestead FL 33033
Phone: (305) 247-1701
Fax: (305) 247-1799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME47564 Florida

Profile Details

NPI number 1942206701
LBN Legal business name Evans, Theodore Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jun 27th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942206701 NPPES
Other 1942206701 MD MEDICARE CHOICE
Other 592417574001 MD MEDICARE CHOICE
Other 12255 MD MEDICARE CHOICE
Other 13451 MD MEDICARE CHOICE
MEDICAID 250454500 MD MEDICARE CHOICE
Other 54115 MD MEDICARE CHOICE
Other 273479 MD MEDICARE CHOICE
Other 200010270 MD MEDICARE CHOICE
Other 9319 MD MEDICARE CHOICE
Other 1003510 MD MEDICARE CHOICE
Other 08743 MD MEDICARE CHOICE
Other 7574 MD MEDICARE CHOICE

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